<fieldset class="fieldset editing address" data-form-element="true" draggable="true"
	{{bindAttr id="uid"}}
	 {{action "fieldsetClicked" .}} >
	 
	<div class="legend">{{name}}
	<span {{bindAttr class=":req valid.func_not_empty:required:hide"}}>*</span></div>
	
	<div class="full2">
		<div class="line">
			<div>
				<input type="text" class="field text" readonly="readonly" disabled="disabled">
			</div>
			<label class="desc thin">
				Address Line 1
			</label>
		</div>
		<div class="line">
			<div>
				<input type="text" class="field text" readonly="readonly" disabled="disabled">
			</div>
			<label class="desc thin">
				Address Line 2
			</label>
		</div>
		<div class="line">
			<div class="half2">
				<div>
					<input type="text" class="field text" readonly="readonly" disabled="disabled">
				</div>
				<label class="desc thin">
					City
				</label>
			</div>
			<div class="half3">
				<div>
					<input type="text" class="field text" readonly="readonly" disabled="disabled">
				</div>
				<label class="desc thin">
					State / Province / Region
				</label>
			</div>
		</div>
		<div class="line">
			<div class="half2">
				<div>
					<input type="text" class="field text" readonly="readonly" disabled="disabled">
				</div>
				<label class="desc thin">
					Postal / Zip Code
				</label>
			</div>
			<div class="half3">
				<div>
					<input type="text" class="field text" readonly="readonly" disabled="disabled">
				</div>
				<label class="desc thin">
					Country
				</label>
			</div>
		</div>
	</div>
</fieldset>